CASEY KOLLER – Physical Therapist, NPI 1699167692

CASEY KOLLER is a healthcare provider. based in Sainte genevieve, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2015003523 (MO). The NPI Number for CASEY KOLLER is 1699167692

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
CASEY KOLLER
NPI
1699167692
Phone
(573) 883-9366
Address
11394 STATE ROUTE M
Enumeration Date
27 February 2015
Last Update Date
27 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738839366
Graduation Year
2014 (12 years ago)
PAC ID
7810264652
Group Practice PAC ID
9830236769
Professional Enrollment ID
I20170525002028
Address ID
MO636709190ST2196432XX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for CASEY KOLLER

  • 11394 STATE ROUTE M

    SAINTE GENEVIEVE, MO 636708604

    Phone: (573) 883-9366

    Fax: (573) 883-9377

    Type: Mailing

  • 21964 HIGHWAY 32

    SAINTE GENEVIEVE, MO 636709190

    Phone: (573) 883-9366

    Fax: (573) 883-9377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170525002028IPhysical Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63670)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830236769View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
-MO
-MO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Is CASEY KOLLER listed with a National Provider Identifier?
Yes — CASEY KOLLER has NPI 1699167692 on file in the registry.
Would CASEY KOLLER appear as active to a payer?
You can treat CASEY KOLLER as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CASEY KOLLER?
At a glance, CASEY KOLLER is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CASEY KOLLER?
Travel planning: use Sainte Genevieve, Missouri as the reference point for CASEY KOLLER, then confirm.
Can I trust this NPI listing for CASEY KOLLER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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